胸腔镜手术治疗食管良性疾病的疗效分析 |
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引用本文: | 丁凯,张双林,李晓辉,王作培,梁冰. 胸腔镜手术治疗食管良性疾病的疗效分析[J]. 医学临床研究, 2009, 26(1): 18-20 |
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作者姓名: | 丁凯 张双林 李晓辉 王作培 梁冰 |
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作者单位: | 河南大学淮河医院胸外科,河南开封,475001 |
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摘 要: | 【 目的】探讨食管良性疾病的胸腔镜治疗技术的实用性和安全性。【方法】在4个胸腔镜套管切口下分别为26例食管良性疾病病人施行手术治疗,其中食管平滑肌瘤摘除术16例、贲门失弛缓症肌层切开术6例、食管憩室切除术1例、食管囊肿1例、取异物术2例。【结果】本组无手术死亡及严重手术并发症。有3例病人因食管黏膜撕裂中转开胸手术。平均手术时间为95min,术后平均住院日为6d。【结论】食管良性疾病的胸腔镜手术创伤小、恢复快、手术瘢痕小,是一种安全、效果可靠的新术式。
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关 键 词: | 食管疾病/外科学 外科手术 内窥镜 胸腔镜检查 |
Video-assisted Thoracoscopic Surgery for Benign Esophageal Diseases |
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Affiliation: | DING Kai, ZHANG Shuang-lin, LI Xiao-hui,et al ( Department of Cardiothoracic Surgery, Huaihe Hospital, Henan University, Kai f eng 475001, China ) |
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Abstract: | [ObjectivelTo explore the efficacy and safety of thoraeoseopic management of benign esophage- al diseases. [Methodsl Twenty-six patients(16 men and 10 women) with benign esophageal diseases underwent thoracoscopic surgery. All procedures were finished under 4 port incisions. Esophageal leiomyoma was removed by video-thoracoscopic enucleation in 19 patients. Thoracoscopie esophagomyotomy was done in 6 patients with achalasia. Other procedures included esophageal diverticula resection in 2, esophageal cyst resection in 1 and removal of esophageal foreign body in 2. [Results]There was no operative death or major perioperarive complications. Three cases were converted to limited thoracotomy because of mucosa leakage in 2 and dense pleural adhesion in 1. Mean operation time was 95 minutes and the average of hospital stay was 6 days. [Conclusionl Thoracoscopic surgery has advantages as minimal wound, rapid recovery and small cicatrix, so it is safe and effective for patients with benign esophageal disease. |
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Keywords: | esophageal diseases/SU surgical procedures, endoscopic, thoracoscopy |
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